1427090760 AVERA MCKENNAN

Clinic/Center

Active

Basic Information

Organization Name
AVERA MCKENNAN
Enumeration Date
June 12, 2006
Last Update
February 10, 2023
Authorized Official
DAVID WILLIAM FLICEK
PRESIDENT/CEO
Phone: (605) 322-7915

Practice Location

Address
110 S LOGAN AVE STE A
GREGORY, SD 575331614
Phone
(605) 835-9611
Fax
(605) 835-8033

Mailing Address

Address
405 WHITTECAR AVE
GREGORY, SD 575331340
Phone
(605) 835-9611
Fax
(605) 835-8033

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Clinic/Center
261Q00000X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
46011474312 05 NE N/A
0000028 01 SD WELLMARK BC/BS

Additional Practice Locations

405 Whittecar Ave
Gregory, SD 575331340

Phone: (605) 835-9611

Fax: (605) 835-8033

Frequently Asked Questions

What is AVERA MCKENNAN's NPI number?
AVERA MCKENNAN's NPI number is 1427090760.
Which doctor has NPI number 1427090760?
The doctor with NPI number 1427090760 is AVERA MCKENNAN.
What is AVERA MCKENNAN's practice address?
AVERA MCKENNAN's practice address is 110 S LOGAN AVE STE A, GREGORY, SD, 575331614.
Which doctor practices at 110 S LOGAN AVE STE A, GREGORY, SD, 575331614?
AVERA MCKENNAN practices at 110 S LOGAN AVE STE A, GREGORY, SD, 575331614.
What is AVERA MCKENNAN's mailing address?
AVERA MCKENNAN's mailing address is 405 WHITTECAR AVE, GREGORY, SD, 575331340.
What is AVERA MCKENNAN's phone number?
AVERA MCKENNAN's phone number is (605) 835-9611.
Who is (605) 835-9611?
(605) 835-9611 is the phone number for AVERA MCKENNAN.
What is AVERA MCKENNAN's specialty?
AVERA MCKENNAN's specialty is Clinic/Center.
What type of doctor is AVERA MCKENNAN?
AVERA MCKENNAN is a Clinic/Center.
Is AVERA MCKENNAN a Clinic/Center?
Yes, AVERA MCKENNAN is a Clinic/Center.
Is AVERA MCKENNAN still practicing?
Yes, AVERA MCKENNAN is currently practicing.
Is AVERA MCKENNAN accepting new patients?
AVERA MCKENNAN may be accepting new patients. Please call their office at (605) 835-9611 to inquire about availability.
Is NPI 1427090760 still active?
Yes, NPI 1427090760 is currently active.
Where does AVERA MCKENNAN practice?
AVERA MCKENNAN practices in GREGORY, SD.